NPI | 1871919209 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT99958) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF92577) |
Enumeration Date | 2014-03-10 |
Last Update Date | 2021-07-16 |